Section XXV. of 1836 in the Books of the Warehouse Department, under No. , dated

XXV. of 1836 in the Books of the Warehouse Department, under No. , dated , for fifteen months (or such other period as may have been allowed, to be here stated) under all the Obligations and Conditions, at present, attached to the Goods. | Marks and Numbers of Packages. | Description of Packages and of Goods. | Contents of Packages. | Rate of value of Goods. | Amount of value of Goods as entered in Custom House Books. | Rate of Duty chargeable or paid upon the Goods. | Name of the Persons by whom Goods first passed into Warehouses. | | --- | --- | --- | --- | --- | --- | --- | | | | | | | | | Note.—If the Goods to be removed shall have been sold or transferred by the original Proprieter or Agent, a Certificate of such Sale or Transfer shall accompany the Appli- cation. (Signed) (By the Owner, Agent, or Consignee of the Goods.)